A Peer Evaluation Program to Improve the Quality of Fellow-written Inpatient Consultation Notes

Description

This poster describes a unique peer evaluation program developed to improve the quality of inpatient, fellow-written consultation notes. The program taught trainees about the components of high-quality consultation notes, and engaged them in a self-improvement program through reflection on performance data and practice-based learning. The Quality of Consultation Assessment Tool (QCAT), a standardized tool, was developed to objectively evaluate consult notes. The QCAT collects information from written notes about the following domains: reason for consultation, diagnostic plan, therapeutic plan, communication, and educational value. A peer evaluation program was implemented in which trainees blindly reviewed peers' initial consultation notes, and self-reflected on the quality of their own notes. Divisional-level feedback was provided on a routine basis.